Factors predicting early discharge and mortality in post-percutaneous endoscopic gastrostomy patients

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Ελληνική Γαστροεντερολογική Εταιρία
Αποθετήριο :
Annals of Gastroenterology
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Σημασιολογικός εμπλουτισμός/ομογενοποίηση από το EKT

2013 (EL)
Factors predicting early discharge and mortality in post-percutaneous endoscopic gastrostomy patients (EN)

Bansal, Raghav; Mount Sinai Services at Elmhurst
Gumaste, Vivek V.; Associate Chief of Clinical Gastroenterology, Montefiore Medical Center
Baum, Joel; Mount Sinai Services at Elmhurst
Sidhu, Lovleen; Mount Sinai services at Elmhurst
Walfish, Aaron; Mount Sinai Services at Elmhurst
Bhamidimarri, Kalyan R.; Mount Sinai Services at Elmhurst

Background The aim of our study was to ascertain factors that favor early discharge and predict mortality in post-percutaneous endoscopic gastrostomy (PEG) patients.Methods Successive patients who underwent successful PEG placement during a 10-year period in a single New York City hospital were included in the study. Data was retrospectively extracted from hospital electronic medical records.Results Two hundred and eighty-four patients underwent successful PEG placement. Forty-six patients (16%) were discharged within 3 days of PEG placement (early discharge). Two hundred and thirty six patients (84%) remained in hospital from 4 to 244 days (median 13.5) after PEG insertion (late discharge). Twenty-six (9%) patients died in-house after PEG placement. A serum albumin level <2.2 g/dL (P=0.007) and presence of 2 or more co-morbidities (P=0.019) were predictors of late discharge. A dementia indication was twice as likely to result in an early discharge compared to a stroke indication (OR 2.39; 95% CI 1.07-5.36; P=0.033). Female sex, positive urine cultures and low serum albumin levels were independent predictors of in-house mortality.Conclusion Clinical and laboratory markers may predict post-PEG mortality as well as early patient discharge.Keywords Post-PEG mortality, co-morbiditiesAnn Gastroenterol 2014; 27 (1): 42-47 (EN)

Ελληνική Γαστροεντερολογική Εταιρία (EL)
Hellenic Gastroenterologiki Company (EN)

2013-12-19


Annals of Gastroenterology (EN)

Annals of Gastroenterology; Volume 27, No 1 (2014); 42 (EN)



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